| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8.36 | $15.32 | $21.71 | |
Cigna
| Professional | $6.57 | $6.72 | $7.97 | |
Quartz
| Professional | $3.77 | $10.75 | $10.75 | |
Quartz
| Facility | $100.00 | $100.00 | $100.00 |
Ranitidine Hydrochloride Inj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8.36 | $15.32 | $21.71 | |
Cigna
| Professional | $6.57 | $6.72 | $7.97 | |
Quartz
| Professional | $3.77 | $10.75 | $10.75 | |
Quartz
| Facility | $100.00 | $100.00 | $100.00 |